The current study aimed to recognize the needs of health care staff in avoiding violent incidents and to identify areas of improvement in the current violence prevention policy and the policy regarding a safe transfer of the patient to a seclusion room. Four focus group interviews were conducted with 26 employees of the two high-security forensic psychiatric centers in Flanders, consisting of nursing staff members, department heads, psychologists, psychiatrists, and in-house trainers of aggression prevention techniques resilience. Inductive content analysis was applied to analyze the focus group transcriptions. Health care staff emphasizes the importance of self-confidence in one's own abilities to detect, prevent and act appropriately on violent incidents. Different measures are suggested that could improve self-confidence, which can be subdivided into different prevention levels. Practical interventions were formulated that respond to the existing gaps in violence prevention policy and to the needs of the employees.